Organization Active NPI

Maxim Mobility LLC

  • Customized Equipment (DME)
  • Maumee, OH
National Provider Identifier
1902552599
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MAXIM MOBILITY LLC
Practice address
4444 Keystone Dr Unit F1
(Located in Back of Building)
Maumee, OH 43537-8796
Phone
(330) 240-0302
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angelo Maxim, OTDNPI 1952800245
Title
Owner
Phone
(330) 240-0302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

4444 Keystone Dr Unit F1
(Located in Back of Building)
Maumee, OH 43537-8796

Mailing address

1150 River Rd
Maumee, OH 43537-3546
Phone (330) 240-0302

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1902552599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RIVER RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373546",
            "telephone_number": "330-240-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 KEYSTONE DR UNIT F1",
            "address_2": "(LOCATED IN BACK OF BUILDING)",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378796",
            "telephone_number": "330-240-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MAXIM",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-240-0302",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.